| NPI | 1063772614 |
|---|---|
| Former Name | ANNA L MINTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2015) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA157058) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2025-03-03 |